NPIMap

Organization Active NPI

305 Medtrans Corp

  • Taxi
  • College Point, NY
National Provider Identifier
1336808773
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
Legal business name
305 MEDTRANS CORP
Practice address
12010 15TH Ave Ste 6
College Point, NY 11356-1645
Phone
(347) 697-4660
Fax
(516) 472-0812
NPI assigned
Dec 13, 2021
Last updated
Dec 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jan C Zabala
Title
President
Phone
(347) 697-4660

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X NU
Non-emergency Medical Transport (VAN) 343900000X NU
Taxi 344600000X NU Primary
Transportation Broker 347E00000X NU
Transportation Network Company 342000000X NU

Addresses

Primary practice location

12010 15TH Ave Ste 6
College Point, NY 11356-1645

Mailing address

12010 15TH Ave Ste 6
College Point, NY 11356-1645
Phone (347) 697-4660

Other identifiers 1

IdentifierTypeStateIssuer
06435276MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1336808773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12010 15TH AVE STE 6",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113561645",
            "telephone_number": "347-697-4660",
            "fax_number": "516-472-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12010 15TH AVE STE 6",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113561645",
            "telephone_number": "347-697-4660",
            "fax_number": "516-472-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "305 MEDTRANS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "ZABALA",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-697-4660"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06435276",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.